specializing in dermatology in Boise, Idaho
NPI: 1952483299
Provider Type
2
Practice Locations
Mailing Location
6454 W EMERALD STREET
BOISE, ID 83704
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:10/19/2006
Last Updated:1/30/2012
Credentials
Primary Credential: